scholarly journals The role of blood pressures in patients with a headache

Author(s):  
Mehrdokht Mazdeh ◽  
Mojtaba Khazaei ◽  
Arezou Sayad ◽  
Javad Zebarjadi Bagherpour ◽  
Mohammad Taheri

Background: A headache is the most common cause of patients referred to the doctor. About 40 percent of people are suffering from a headache for at least once a year. Due to it's the high prevalence and its association with cardiovascular diseases, hypertension was considered as a  health problem in industrialized and developing countries. The aim of this study was to investigate the role of blood pressure in patients with a headache referred to the neurological clinic during  2014-2015 in Hamadan.Method: This cross-sectional study was performed to evaluate patients with a headache referred to the neurological clinic. Exclusion criteria included: a headache with a specific cause (a migraine, stroke, chronic daily headache, kidney disease, Diabetes Mellitus, history of heart disease or use of cigarette. The data were entered into the list and then were analyzed by SPSS software through paired T-test and chi-square test.Results: In this study, the 100 patients with a headache (78% females and 22% males) were investigated. The average age of patients was 60.07±13.175 years. The prevalence of stage 1 & 2 hypertension was 85%, and prehypertension prevalence of 7% was reported. Most of the headaches were in the frontal (33 %). Furthermore, the most headaches occur in varied time (70%). There wasn’t a significant correlation between age (P-value=0.698), gender (P-value=0.952), headache and blood pressure.Conclusion: The results obtained from the present study indicated that there was not any significant correlation between a headache and blood pressure, and the prevalence of blood pressure in the patients with a headache was similar to those who do not have headaches.Keywords: Blood Pressure, Hypertension, Headache

Author(s):  
Etienne Belinga ◽  
Isidore Tompeen ◽  
Claude Cyrille Noa Ndoua ◽  
Junie Metogo Ntsama ◽  
Sandrine Mendibi ◽  
...  

Background: Uterine synechiae refers to a total or partial union of the inner walls of the uterus resulting from endometrial trauma. It is a cause of reproductive failure. Until now, synechia was not optimally treated and has remained understudied in Cameroon. Objective of present study was to Evaluate the diagnostic, therapeutic and prognostic aspects of uterine synechiae treated by hysteroscopy.Methods: We conducted a descriptive cross-sectional study with an analytical component from January 1st 2015 to July 31st 2017 at Yaounde. All patients diagnosed with uterine synechiae and treated with hysteroscopy were our sample. Sampling was consecutive. The chi-square test was used for the comparison of qualitative variables and Fisher's test for ANOVA variance analysis. The comparison of the averages was made by the Student's test. P-value less than 0.05 was considered as statistically significant.Results: Hysteroscopies were indicated for uterine synechiae in 14.50%. Nulliparous were 56.67%. A history of curettage/aspiration was present in 66.66%. All of the patients had a form of infertility and 83.33% had menstrual disorders. Hysterosalpingography showed a better sensitivity (88%). After hysteroscopic treatment, 63.30% had a complete anatomical restitution. There is a significant correlation between the stage of severity of synechia and anatomical restitution (p=0.008; Spearman correlation coefficient=-0.477).Conclusions: Uterine synechiae represent one-sixth of all indications for hysteroscopy and present clinically as menstrual disorder associated with infertility. A past history of uterine curettage is common. Hysterosalpingography has a better preoperative diagnostic sensitivity. Hysteroscopy allows optimal treatment.


2020 ◽  
Vol 14 (3) ◽  
pp. 445-451
Author(s):  
Asnuddin Asnuddin ◽  
Asrini Mattrah

Social media use: The role of parents' perceptions about social media impact in early marriageBackground: Early marriage is a marriage that is conducted at adolescence, the factors causing early marriage are socio-cultural factors, economic pressure, level of education, difficulty in getting a job, social media, religion and views and beliefsPurpose: To find out the influence of social media and the role of parents on the incidence of early marriageMethod: A quantitative research using descriptive analytical research method with cross sectional study design with variable use of social media with the criteria for the results "active and inactive". For the variable of the role of parents with 2 outcome criteria, namely "influential and not influential". And for the variable incidence of early marriage, there are 2 criteria, namely age 14-16 years and age 17-19 years, the questionnaire used has been through the validity of previous researchers. Then the results of the data obtained were analyzed in the SPSS program using the Chi Square testResults: From the Chi Square test results for social media variables obtained p value = 0.001, then the value of p = 0.001 <0.05 (α) while the role of parents variable Chi Square test results obtained p value = 0.022, therefore the value of p = 0.022 <0.05 (α).Conclusion: Based on the results of the study it can be concluded that, there is a significant influence between the use of social media and the role of parents in the event of early marriage Keywords: Social media; Parents, Early marriagePendahuluan: Pernikahan usia dini adalah perkawinan yang dilakukan pada usia remaja, faktor penyebab pernikahan usia dini adalah faktor sosial budaya, desakan ekonomi, tingkat pendidikan, sulit mendapat pekerjaan, media sosial, agama serta pandangan dan kepercayaan.Tujuan: Untuk mengetahui pengaruh media sosial dan peran orang tua terhadap kejadian pernikahan dini di Kecamatan Marioriawa Kabupaten Soppeng Metode: Penelitian kuantitatif dengan menggunakan metode penelitian deskriptif analitik dengan rancangan cross sectional study dengan variabel penggunaan media sosial dengan kriteria hasil “aktif dan tidak aktif”. Untuk variabel peran orang tua dengan 2 kriteria hasil yaitu “berpengaruh dan tidak berpengaruh”. Dan untuk variabel kejadian pernikahan dini ada 2 kriteria  yaitu umur 14-16 tahun dan umur 17-19 tahun,  kuesioner yang di gunakan sudah melalui uji validitas peneliti sebelumnya. Kemudian hasil data yang di dapatkan dianalisis di program SPSS dengan menggunakan uji Chi SquareHasil: Dari hasil uji Chi Square untuk variabel media sosial didapatkan nilai p=0,001, maka nilai p=0.001<0.05 (α) sedangkan variabel peran orang tua hasil uji Chi Square didapatkan nilai p=0,022, oleh karena itu nilai p=0.022<0.05 (α).Simpulan: Berdasarkan hasil penelitian dapat di simpulkan bahwa, Ada pengaruh yang signifikan antara penggunaan media sosial dan peran orang tua terhadap kejadian pernikahan dini


Author(s):  
Fitri Handayani ◽  
Fatimah Fatimah ◽  
Yulinda Kurniasari ◽  
Lia Dian Ayuningrum

<p><strong>ABSTRACT</strong><strong></strong></p><p><strong><em>Background:</em></strong> In the world maternal mortality as many as 830 women died due to complications in childbirth. In 2015, 303.000 women died during pregnancy and after pregnancy. Target Sustainable Development Goals (SDGs) year 2030 lowers MATERNAL MORTALITY RATE under 70 per 100.000 live births. Pregnancy complications can cause bleeding before or after childbirth, preeclampsia, eclampsia, infections, and others. Maternal death case in Kab. Bantul in 2015 is 9 cases. Research Data in the Panembahan Senopati Hospital in the year 2017 the incidence of childbirth with complications of 1068 people. The prevalence of preeclampsia in expectant mothers is 176 people by 16.47%.</p><p><strong>Objectives: </strong>This research aims to know the relationship of sodium and calcium consumption in the mother of Nifas with preeclampsia during pregnancy in the Panembahan Senopati Hospital. Number of Samples were 54 postpartum women in Panembahan Senopati Bantul. Processing and analysis of data using the Chi-square test.</p><p><strong>Method<em>s: </em></strong>This type of research is an analytical observational, with a research design using a cross-sectional.</p><p><strong><em>Results:</em></strong> Characteristics of most respondents in the age category of 20-35 years as many as 38 people (70.4%), education graduated of senior high school 28 people (51.9%), history of not hypertension as many as 51 people (94.4%) and has no preeclampsia history as much as 50 people (92.6%). Statistical test results of Chi-square and p-value sodium was 0.564 (&gt; 0.05) and P-value calcium was 1.000 (&gt; 0.05).</p><p><strong><em>Conclusion</em></strong>: There is no relationship between sodium and calcium consumption of postpartum women with preeclampsia problem during pregnancy at Panembahan Senopati Hospital.</p><p><strong>KEYWORDS:</strong> <em>calcium, <em>preeclampsia, </em></em>s<em>odium</em></p>


Hypertension ◽  
2021 ◽  
Vol 78 (Suppl_1) ◽  
Author(s):  
Mochammad Sja'bani ◽  
Lucky Aziza Bawazier ◽  
Fredie Irijanto ◽  
Zulaela Zulaela ◽  
Agus Widiatmoko ◽  
...  

Background: Serum uric acid levels have been reported to be associated with elevated blood pressure and hypertension events. It is needed to determine the prognostic serum uric acid (SUA) cut-off point to prevent the incidents of prehypertension and hypertension. Methods: This was a cross-sectional study involving a total of 733 participants who a had history of prehypertension in 2007. These participants were selected from “Mlati Study Database” in 2007 by simple random sampling using statistical software. Participants underwent both physical and laboratorical examination. Data were analyzed based on JNC 7 and ACC/AHA 2017 guideline. Results: Based on JNC 7 classification, the analysis using ROC curve showed that the prognostic SUA cut-off point of 4.85 mg/dL was able to indicate the incidents of prehypertension or hypertension in the database (95% confidence interval, CI, 0.532-0.629, p=0.001). Additional analysis using ACC/AHA 2017 guideline as the blood pressure classification was also performed for comparison. Based on ACC/AHA 2017 classification, the ROC curved showed a slightly higher SUA cut-off points than the previous analysis using JNC 7. The prognostic SUA cut-off point of 4.95 mg/dL was able to indicate the events of hypertension stage 1 and stage 2 in the database (95% confidence interval, CI, 0.532-0.615, p=0.001). These results were parallel with the previous study which reported that SUA cut-off points of 5-7 mg/dL (high-normal SUA) and ≥7 mg/dL (high SUA) were associated with the incidents of prehypertension and hypertension. Conclusion: The new SUA cut-off points may be used as an early warning for the development of prehypertension and hypertension in the future.


2021 ◽  
Vol 1 (1) ◽  
pp. 1011-1020
Author(s):  
Leandra Binar Ilyasa ◽  
Andriyani Asmuni ◽  
Nur Romdhona ◽  
Ernyasih Ernyasih

About 40% of the world's human population has no place in their homes to wash their hands with soap and water. The prevalence of handwashing behavior with soap for school children in Indonesia in 2018 was 46%. In 2018 the behavior of washing hands with soap in Banten Province in the group of school children was 44.5%.  South Tangerang City has a prevalence of handwashing behavior with soap in school children in 2018 of 69.12%. This research was conducted to Factors Related to the Behavior of Washing Hands with Soap for Elementary School Age Children During the COVID-19 Pandemic at RT.008/RW.007 Pisangan, East Ciputat in 2021. Cross-sectional study design with 86 people as samples, the sampling done by total sampling technique. Data analysis used chi-square test (α = 0.05). Variables related to the handwashing behavior with soap are knowledge (p-value 0,038. OR= 3,4), facilities (p-value = 0,000. OR= 76,3), the role of parents (p-value = 0,005. OR= 4,5). While variables not related to handwashing behavior with soap are attitude (p-value = 0,132. OR = 8,1). Factors Related to the Behavior of Washing Hands with Soap at RT.008 RW.007 Pisangan, East Ciputat are knowledge, facilities, the role of parents. An active parental role is needed so that they can guide, teach and be an example for their children in good handwashing behavior with soap. There is a need for prevention actions such as the distribution of handwashing soap and pamphlets containing an invitation to wash hands and this activity is under the supervision of the Pisangan Health Center


2019 ◽  
Vol 2 (2) ◽  
pp. 146
Author(s):  
Sunarti Hanapi ◽  
Nuryani Nuryani ◽  
Rahmawaty Ahmad

Based on Indonesian Basic Health Research 2018Vitamin A capsule coverage for children 6-59 months reached 53.1%. Based on Department of Health Gorontalo district Vitamin A capsule coverage in work area of Asparaga community health center reached 80%. The research aims at investigating association of giving vitamin A toward toddler. This research used observational analytic method with cross sectional study approach. This research was conducted in February until April with total of samples were 262 children  6-59 mount and respondents were toddler mother. The technique of collecting samples was using purposive sampling technique and the technique of data collection was using questionnaire. The technique of data analysis was chi square test. The findings reseacrh was found that the giving of vitamin A on toddler was 126 (48,1%) and not giving vitamin A was 136 (51,9%) toddlers, low mothers knowledge 63,4%, active cadre 28,2%, active participation toddlers 5,0%. Base on analysis bivariate indicated that sufficient knowledge of mothers 67,7% of the toddlers were given vitamin A and chi square test showed knowledge of p value = 0,000, the role of active cadres 82,4% of the toddlers were given vitamin A with p value = 0,000 and the activity of toddlers visiting community health center / Posyandu 100% of the toddlers were given vitamin A with p value = 0,000. It was concluded that the mothers knowledge factor, the role of cadres and the activity of toddlers visiting Community Health Center and Posyandu were related to the provision of viramin A in the toddlers. It was recommended for mothers of toddlers to explore more information regarding the importance of providing vitamin A to toddlers, and to be active partisipation in Community Health Center / Posyandu activities.Berdasarkan hasil Riskesdas 2018 cakupan kapsul vitamin A pada anak 6-59 bulan mencapai 53,1%. Berdasarkan data Dinas Kesehatan Kabupaten Gorontalo cakupan pemberian vitamin A di Wilayah Kerja Puskesmas Asparaga mencapai 80%. Tujuan dalam penelitian ini untuk mengetahui sejumlah faktor yang berhubungan dengan pemberian vitamin A pada balita. Penelitian ini menggunakan metode observasional analitik dengan rancangan cross sectional study. Penelitian ini dilakukan pada Februari sampai April dengan jumlah sampel 262 balita umur 6-59 bulan dengan ibu balita sebagai responden. Pengambilan sampel dengan tekhnik purvosive sampling dan pengumpulan data dengan menggunakan kuesioner, analisis menggunaka chi square test. Hasil penelitian didapatkan pemberian vitamin A pada balita sebanyak 126 (48,1%) dan tidak diberikan vitamin A sebanyak 136 (51,9%) balita, pengetahuan ibu kurang 63,4%, keaktifan kader 28,2%, keaktifan kunjungan balita 5,0%. Berdasarkan hasil uji bivariat menunjukkan pengetahuan ibu cukup 67,7% anak balita diberikan vitamin A chi square  test menunjukkan pengetahuan  p value = 0,000, peran kader aktif 82,4% balita diberikan vitamin A dengan p value = 0,000, dan keaktifan kunjungan balita ke Puskesmas / Posyandu 100% balita diberikan vitamin A dengan p value = 0,000 berhubungan dengan pemberian vitamin A pada balita. Disimpulkan bahwa faktor pengetahuan ibu, peran kader dan keaktifan kunjungan balita ke Puskesmas dan Posyandu berhubungan dengan pemberian viramin A pada balita. Disarankan kepada ibu balita agar lebih menggali informasi terkait pentingnya pemberian vitamin A pada balita, serta aktif dalam kegiatan Puskesmas / Posyandu.


Author(s):  
Iche Andriyani Liberty ◽  
Pariyana Pariyana ◽  
Eddy Roflin ◽  
Lukman Waris

Abstrak Puskesmas merupakan Fasilitas Kesehatan Tingkat Pertama yang berfungsi menjaga kesinambungan pelayanan kesehatan secara paripurna. Hingga saat ini penyakit tidak menular yang masih merupakan tantangan besar di Puskesmas dalam menurunkan angka morbiditas hipertensi adalah adalah tatalaksana hipertensi salah satunya adalah tingkat kepatuhan mengkonsumsi obat antihipertensi bagi penderita masih sangat rendah. Penelitian ini bertujuan untuk menganalisis determinan kepatuhan pasien menjalani pengobatan hipertensi dan pengaruhnya terhadap kendali tekanan darah pasien hipertensi. Metode penelitian observasional analitik dengan pendekatan cross sectional. Penelitian dilakukan di kota Palembang pada bulan Agustus sampai Oktober 2017. Sampel adalah pasien yang berobat ke Puskesmas Karyajaya, Kenten, Plaju, Sei Baung, dan Kampus. Sampel yang memenuhi kriteria inklusi sebanyak 90 pasien. Analisis data dengan analisis univariat dan bivariat dengan Chi Square Test. Determinan yang berpengaruh terhadap kepatuhan pasien hipertensi dalam mengkonsumsi obat adalah lama menderita hipertensi: POR: 0,11, nilai p =0,04 (CI 95% 0,02-0,52).Determinan jenis kelamin, usia, tingkat pendidikan, jenis pekerjaan, Indeks Massa Tubuh, keikutansertaan BPJS, dan riwayat hipertensi dalam keluarga tidak berpengaruh secara signifikan terhadap kepatuhan berobat pasien hipertensi. Kepatuhan pasien dalam menjalani pengobatan hipertensi juga merupakan determinan yang berpengaruh terhadap kendali tekanan darah responden. Keberhasilan terapi hipertensi di tingkat pelayanan pertama bisa meningkat, maka disarankan bagi tenaga kesehatan memperhatikan lama atau riwayat menderita hipertensi pasien dalam memberikan pelayanan. Abstract Puskesmas is a First Level Health Facility Until now, the management of non-communicable diseases which is still a big challenge in Puskesmas is hypertension. One effort that can be done to reduce the morbidity rate of hypertension is the consumption of antihypertensive, but still few patients who adhere to this treatment.This study aims to analyze the determinants of adherence in patients undergoing treatment of hypertension and how it affects blood pressure control of hypertensive patients. This research is an observational analytic research with cross sectional approach. This research was conducted in Palembang city from August to October 2017. The samples were patients who went to Puskesmas Karyajaya, Kenten, Plaju, Sei Baung, and Campus which fulfilled the inclusion criteria with a total sample of 90 patients. Data analysis in this research was univariate and bivariate analysis with Chi Square Test. Determinant which influence to adherence in this research was duration of hypertension with POR 0,11 with CI 95% 0,02-0,52 (p value = 0,04). While other determinants of gender, age, education level, occupation, Body Mass Index, BPJS participation, and family history of hypertension have no significant effect on hypertension patient’s treatment compliance. Compliance of patients in undergoing treatment of hypertension is also a determinant that affects the control of blood pressure of respondents. The determinants that affect the adherence in this study are duration of hypertension, thus health workers at first-level facility is very necessary attention to a history of hypertension patients in order to improve therapeutic efficacy.


2020 ◽  
Vol 11 (4) ◽  
pp. 402-412
Author(s):  
Doha Abo Aljadayel ◽  
Hadi Jalilvand ◽  
Mojtaba Abdi ◽  
Hesam Jahandideh

Background and Objectives: Smell disorder such as dostorted olfaction (parosmia) is one of the most common symptoms of COVID-19. Therefore, this study aimed to investigate the improvement of symptoms of parosmia in patients with COVID-19 in 2020. Material and Methods: This cross-sectional study was conducted in summer and spring of 2020 using a data collection form which was validated with Cronbach's alpha of r=0.826. The study was done in an international health center in Tehran. To report descriptive results, mean, standard deviation, absolute frequency and absolute frequency percentage, and for analysis, independent t-test and chi-square test were used using SPSS software version 16 and the significance level was considered to be 0.05. Results: In total ,350 patients participated in the study, the prevalence of parosmia in patients was 15.14% and the mean and age deviation of patients was 32.71 ± 10.93 years. There was not a significant relationship between parosmia and gender (p value=0.317), age (p value=0.271), previous history of allergic symptoms (p value=0.083), family history of the disease (p value=0.638), taste disorder (p-value=0.768), and smoking (p-value=0.558). 31 cases (58.49 % of Patients) with parosmia had complete remission within 4-6 weeks. Conclusion: Due to the high prevalence of olfactory disorders, especially parosmia in patients with COVID-19, parosmia and other olfactory disorders can be used to screen and triage patients with COVID-19, especially moderate and mild patients. Patients with parosmia should be followed for at least 4 to 6 weeks and if they do not recover for up to 12 weeks, they should be referred to ENT specialists for more specific measures.


Author(s):  
Yusrawati Hasibuan

The increase in life expectancy indicates that more and more menopausal women in Indonesia. The purpose of this study was to determine the effect of age of menarche and history of hormonal contraception on menopause age. The subjects of this cross-sectional study were 91 women selected by purposive sampling technique. Data were collected through questionnaires and then analyzed using the Chi-square test. The results showed that the age of menopause was influenced by the age of menarche (p-value = 0.004) and was not influenced by a history of hormonal contraception (p-value = 0.271). It is expected that health workers increase counseling so that mothers know the factors that influence menopause. Keywords: menopause; menarche; hormonal contraception ABSTRAK Meningkatnya usia harapan hidup menandakan bahwa semakin banyak wanita menopause di Indonesia. Tujuan penelitian ini untuk mengetahui pengaruh usia menarche dan riwayat kontrasepsi hormonal terhadap usia menopause. Subyek penelitian cross-sectional ini adalah 91 wanita yang dipilih dengan teknik purposive sampling. Data dikumpulkan melalui pengisian kuesioner lalu dianalisis menggunakan uji Chi-square. Hasil penelitian menunjukkan bahwa usia menopause dipengaruhi oleh usia menarche (p-value = 0,004) dan tidak dipengaruhi oleh riwayat kontrasepsi hormonal (p-value = 0,271). Diharapkan agar tenaga kesehatan meningkatkan penyuluhan agar ibu-ibu mengetahui faktor yang berpengaruh terhadap menopause. Kata kunci: menopause; menarche; kontrasepsi hormonal


2019 ◽  
Vol 4 (1) ◽  
pp. 7-16
Author(s):  
Yoneta Yoneta

Cancer is a condition where cells have lost control and the normal mechanisms, so that experiencing abnormal growth, rapid and uncontrolled. Cases of breast cancer at RSUD Arifin Achmad in 2016 as many 265 people. Case this is a case of breast cancer is highest in the RSUD Arifin Achmad. The purpose of this study was to determine the factors that affect behavior the prevention of breast cancer. This research is descriptive quantitative. This research conducted was on DIII program studi midwifery level I dan II in STIKes Payung Negeri,in july 2017. This research sampel totaled 139 student registered in the STIKes Payung Negeri. The research design was a cross sectional study using questionnaires instrument.  Data were analyzed using univariate and bivariate statistical test Chi Square. Results of this study concluded that there was  influence of knowledge (p value= 0,001< 0,05) with behavior the prevention of breast cancer, there is no influence of attitude  (p value= 0,527>0,05) with behavior the prevention of breast cancer, there is no influence and a history of cancer in the family (p value=0,503>0,05) with behavior the prevention of breast cancer,  and there was influence the first age of menarche (p value= 0,007<0,05) with behavior the prevention of breast cancer. The results of this study are recommended for further research, for to follow up on the factors that cause breast cancer, so get better results


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